Individual provider Active NPI

Steven Thomas Perry, OD

  • Optometrist
  • Livermore, CA
National Provider Identifier
1821571043
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34101TLG Issued in CA
Practice address
1800 Fourth St
Livermore, CA 94550-4454
Phone
(925) 447-3883
NPI assigned
Sep 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34101TLG CA Primary

Addresses

Primary practice location

1800 Fourth St
Livermore, CA 94550-4454

Mailing address

2861 Superior Dr
Livermore, CA 94550-6617
Phone (925) 980-9691

Other practice location 1

4028 Dale Rd Ste 102
Modesto, CA 95356-9561
Phone (209) 527-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181020000343 CA Practitioner - Optometry 0648523621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4028 Dale Rd
Suite 102
Modesto, CA 95356-9561
Phone (209) 791-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34101TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
Livermore Optometry Group Optometrist CurrentSince Sep 20, 2018 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients

Locations

1800 4th St
Livermore, CA 94550
Phone (925) 447-3883

4028 Dale Rd
Ste 102
Modesto, CA 95356
Phone (209) 527-2020

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1821571043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 SUPERIOR DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506617",
            "telephone_number": "925-980-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504454",
            "telephone_number": "925-447-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4028 Dale Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569561",
            "country_code": "US",
            "telephone_number": "209-527-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34101TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.